Individual
MISS TOWANDA COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR L
Contact information
Practice address
12421 S RACINE AVE, CALUMET PARK, IL 60827-5817
(708) 489-2639
Mailing address
12421 S RACINE AVE, CALUMET PARK, IL 60827-5817
(708) 489-2639
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
IL
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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